Romero de Avila Montoya José M, Hueto Najarro Alba, Dadlani Dadlani Neelam M, Tárraga Marcos María Del L, Barbera Pérez Paula M, González García Gonzalo
Pediatría, Hospital Clínico Universitario Lozano Blesa, Zaragoza (España).
Pediatría, Centro de Salud Zabalgana, Vitoria-Gasteiz (España).
Arch Argent Pediatr. 2020 Aug;118(4):e400-e404. doi: 10.5546/aap.2020.e400.
The asymmetric periflexural exanthema of childhood is an underdiagnosed entity of unknown etiology that affects, most commonly, girls around two years of age. Clinically, it affects only one side of the body and it eventually disappears without the need of any specific treatment. We report two cases of this entity. The first case is a 14-month-old female patient with an erythematosus papular eruption that initiates near the axilla and progresses, in a period of seven days, towards the ipsilateral upper limb and hemithorax, with no other alterations. The second case is a 24-month-old female with a pruriginous erythematosus papular exanthema that begins on the left lower extremity and extends throughout the left hemibody. Due to the characteristics of the exanthema and the age range of the patients, they were diagnosed with asymmetric periflexural exanthema. They both received symptomatic treatment with spontaneous resolution of the condition.
儿童非对称性屈侧周围疹是一种病因不明、诊断不足的病症，最常影响两岁左右的女童。临床上，它仅累及身体一侧，最终无需任何特殊治疗即可自行消退。我们报告两例该病症。第一例是一名14个月大的女性患者，出现红斑丘疹疹，起于腋窝附近，在七天内发展至同侧上肢和半侧胸部，无其他异常。第二例是一名24个月大的女性，患有瘙痒性红斑丘疹疹，始于左下肢并蔓延至整个左半侧身体。鉴于皮疹的特征及患者的年龄范围，她们被诊断为非对称性屈侧周围疹。两人均接受了对症治疗，病情自行缓解。
